Individual
DR. MARK ALLAN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, CSCS
Contact information
Practice address
432 E MAIN ST STE A-1, ABINGDON, VA 24210-3488
(276) 608-4468
(276) 240-1010
Mailing address
432 E MAIN ST STE A-1, ABINGDON, VA 24210-3488
(276) 608-4468
(276) 240-1010
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
002567
WV
2251X0800X
Orthopedic Physical Therapist
Primary
2305202418
VA
2255A2300X
Athletic Trainer
050102053
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156094000
—
WV
Enumeration date
07/05/2007
Last updated
01/10/2025
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